NHS Continuing Care Eligibility Criteria for Funding Live-in Care

NHS Continuing Care is the name given to a package of care that is arranged and funded solely by the NHS for individuals who are not in hospital but have complex, ongoing healthcare needs.

We receive calls and emails several times a week with reference to eligibility for funding under NHS Continuing Care. The callers usually have found difficulty finding out the facts from hospital nurses, social workers, etc., and are left unclear as to what the system does or does not provide, what is the assessment process, who does it, etc.

NHS Continuing Healthcare is free. For further information visit: www.nhs.uk/Conditions/social-care-and-support-guide/Pages/nhs-continuing-care.aspx

The following information is taken from the Government website on NHS Continuing Care.

To be eligible for NHS continuing healthcare, your main or primary need for care must relate to your health.

For example, people who are eligible are likely to;

  • have a complex medical condition that requires a lot of care and support,
  • need highly specialised nursing support.

Someone nearing the end of their life is also likely to be eligible if they have a condition that is rapidly getting worse and may be terminal.

Eligibility for NHS continuing healthcare does not depend on;

  • a specific health condition, illness or diagnosis,
  • who provides the care or,
  • where the care is provided.

If you have a disability, or if you've been diagnosed with a long-term illness or condition, this doesn't necessarily mean that you'll be eligible for NHS continuing healthcare.

To decide if you’re eligible for NHS continuing healthcare, your care needs will be assessed by a health or social care professional. The assessment is done by a healthcare professional using a standard NHS Checklist Tool. To look at the contents of this Checklist Tool, go to the following online document which is helpful: http://bit.ly/1aXnPzN

Additionally, here is a public information booklet on NHS Continuing Care available as a pdf document.

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